Sacral dimple icd 10

Dubowitz syndrome DS is a rare multiple congenital syndrome characterized primarly by growth retardation, microcephaly, distinctive facial dysmorphism, cutaneous eczema, a mild to severe intellectual deficit and genital abnormalities.

Excludes1: acrodermatitis enteropathica E Congenital malformations, deformations and chromosomal abnormalities. Other congenital malformations. Other congenital malformations of skin Q Official Long Descriptor. Congenital sacral dimple. Excludes2: pilonidal cyst with abscess L

Sacral dimple icd 10

A sacral dimple also termed pilonidal dimple or spinal dimple [1] is a small depression in the skin, located just above the buttocks. A sacral dimple is defined as a midline dimple less than 5 mm in diameter and no further than 2. Simple dimples are typically small, measuring less than 5 mm in size. They are positioned in the midline, within 2. Atypical dimples, on the other hand, have different characteristics. They are larger than 5 mm in size and are located within 25 mm of the anus. Atypical dimples can also be deep, positioned above the gluteal crease, located outside the midline, or occur as multiple dimples. Sacral dimples are often spotted in post-natal checks by pediatricians , [3] [5] who can check:. For clinicians dealing with infants who have sacral dimples, it is essential to be aware of the characteristics of atypical dimples. Careful examinations should be conducted to identify any atypical features in order to appropriately manage and refer these cases in clinical practice. Understanding the distinction between simple and atypical sacral dimples is crucial for pediatric practitioners because of the potential association with occult spinal dysraphism OSD. The pooled incidence of OSD in patients with an atypical dimple, as observed in several studies, was significantly higher 8. Given this increased risk, infants with atypical dimples require further evaluation through radiologic imaging and early referrals to neurosurgical specialists. Prompt identification and appropriate management of atypical dimples can help ensure timely intervention and improved outcomes for infants with potential underlying spinal abnormalities. A sacral dimple could also indicate a kidney problem of a kind that can be checked with an ultrasound.

Skeletal abnormalities in DS include sacral dimple, and clinodactyly 5th fingerswith cutaneous syndactyly of toes or fingers.

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A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. It's usually just above the crease between the buttocks. Most sacral dimples are harmless and don't need treatment. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft of hair, skin tag, lump or discolored area. In these instances, your child's health care provider may recommend an imaging test. If a spinal problem is found, treatment depends on the underlying cause.

Sacral dimple icd 10

During an initial newborn evaluation, watchful waiting conditions are findings that usually resolve without medical intervention in a few weeks to a few years. Some watchful waiting issues require continued outpatient evaluation until resolution. Watchful waiting conditions usually are not coded by hospital inpatient coders because the conditions do not use significant hospital resources and do not affect newborn hospitalization. For inpatient hospital coding, a condition is clinically significant if it requires:. Assign codes for conditions that have been specified by the provider as having implications for future healthcare needs. For instance, abnormal findings on screenings — for example, newborn hearing screening or lab screenings — are not coded in the inpatient record, unless:. Some conditions happen more frequently in premature newborns such as cryptorchidism and umbilical hernias. Sometimes issues heal without interventions, such as minor hematomas from the birth process and laceration from the fetal monitoring electrode. And immature lacrimal glands mature, hydroceles close, and hip joint motion usually improves without need for intervention.

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The prognosis is very variable depending on the severity and types of congenital anomalies present and the long-term outcome still remains elusive, as no data is available after puberty. Diagnosis is based on the multiple clinical manifestations and is commonly made in early childhood. Guidelines Anesthesia guidelines English - Orphananesthesia. Facial appearance is characteristic with narrow or triangular shaped head and high or sloping forehead, flat supraorbital ridge, scanty lateral eyebrows, short palpebral fissures, blepharophimosis, ptosis, abnormally modeled ears, broad and flat nasal bridge, micrognathia and unusual configuration of the mouth. Atypical dimples can also be deep, positioned above the gluteal crease, located outside the midline, or occur as multiple dimples. ISBN MeSH: C Small depression in the skin located just above the buttocks. Classification level: Disorder. I've struggled with this one also because there is never anything to indicate that the condition is congenital. Cleveland Clinic. Research activities on this disease Research projects 38 Biobanks 13 Registries 29 Network of experts 3 Specialised Social Services Newborn screening Newborn screening library. General public Article for general public Deutsch In some families, Dubowitz syndrome appears to have an autosomal recessive transmission.

A sacral dimple is diagnosed with a physical exam, usually during a baby's first exam.

The spectrum of manifestations of Dubowitz syndrome may also comprise: hematological aplastic anemia and congenital heart defects, frequent infections, chromosomal instability and developement of malignancies acute lymphoblastic leukemia or neuroblastoma; see these terms. Help with CPT Code - greatly appreciated. Dubowitz syndrome DS is a rare multiple congenital syndrome characterized primarly by growth retardation, microcephaly, distinctive facial dysmorphism, cutaneous eczema, a mild to severe intellectual deficit and genital abnormalities. Dubowitz syndrome Suggest an update. While I cannot explain why those two codes cannot be billed together perhaps they overlap clinically? Please contact an administrator. I've struggled with this one also because there is never anything to indicate that the condition is congenital. Prevalence: Unknown. Retrieved Coding Alert s. Read Edit View history. Toggle limited content width.